ʻO kaʻai a me ka ʻai ʻana ma hope o ka esophagectomy

Ua ʻoki ʻoe e wehe i kahi hapa, a i ʻole, o kāu esophagus. ʻO kēia paipu e hoʻoneʻe i ka meaʻai mai ka puʻu i ka ʻōpū. Hoʻohui hou ʻia ka ʻaoʻao i koe o kou esophagus i kou ʻōpū.

E loaʻa paha kāu paipu hānai no 1 a 2 mau mahina ma hope o ke kahakaha ʻana. E kōkua kēia iā ʻoe e loaʻa ka nui o nā calori i hoʻomaka ʻoe e hoʻonui i ke kaupaona. E mālama pū ʻoe i kahi papaʻai kūikawā ke hoʻi mua ʻoe i ka home.

Inā he paipu hānai (Tube PEG) ke hele pololei i loko o kou ʻōpū:

• Hoʻohana wale paha ʻoe ia mea i ka pō a i ʻole no nā wā i ke ao. Hiki iā ʻoe ke hele i kāu mau hana i ke ao.
• E aʻo aku kahi kahu hānai iā ʻoe a i ʻole kahi mea hānai pehea e hoʻomākaukau ai i ka papa wai no ka paipu hānai a me ka nui o ka hoʻohana.
• E hāhai i nā ʻōkuhi pehea e mālama ai i ka paipu. Hoʻopili kēia i ka pīpī ʻana i ka paipu me ka wai ma mua a ma hope o ka hānai ʻana a me ka hoʻololi ʻana i ka lole a puni ka pahu. E aʻo ʻia ʻoe pehea e hoʻomaʻemaʻe i ka ʻili a puni ka paipu.

Loaʻa paha ʻoe i ka diarrhea ke hoʻohana nei ʻoe i kahi paipu hānai, a i ʻole ke hoʻomaka hou ʻoe e ʻai i nā meaʻai maʻamau.

• Inā kumu nā meaʻai kikoʻī i kāu palahī, e hoʻāʻo e hōʻalo i kēia mau meaʻai.
• Inā he nui nā neʻe o kou ʻōpū, e hoʻāʻo i ka pauka psyllium (Metamucil) i kāwili ʻia me ka wai a i ʻole ka wai ʻalani. Hiki iā ʻoe ke inu a waiho i loko o kāu pahu wai hānai. E hoʻohui ka nui i kāu pahu noho a paʻa.
• E noi i kāu kauka e pili ana i nā lāʻau e kōkua i ka maʻi pākī. Mai hoʻomaka i kēia mau lāʻau me ke kamaʻilio mua ʻole ʻana me kāu kauka.

He aha kāu e ʻai ai:

• Aia ʻoe ma ka papaʻai wai i ka mua. A laila ʻai paha ʻoe i nā meaʻai palupalu no 4 a 8 mau pule ma hope o ke kahakaha ʻana. ʻAi wale ka papaʻai palupalu i nā meaʻai momona a pono ʻole ka nau nui.
• Ke hoʻi ʻoe i ka papaʻai maʻamau, e akahele i ka ʻai ʻana i ka steak a me nā ʻiʻo ʻē aʻe no ka mea paʻakikī paha lākou e ale. E ʻokiʻoki iā lākou i mau ʻāpana liʻiliʻi loa a nau pono iā lākou.

Inu wai i 30 mau minuke ma hope o kou ʻai ʻana i ka meaʻai paʻa. Lawe iā 30 i 60 mau minuke e hoʻopau i kahi inu.

Noho i kahi noho ke ʻai ʻoe a inu paha. Mai ʻai a inu paha i kou wā e moe ana. Kū a noho kūpono paha i hoʻokahi hola ma hope o ka ʻai ʻana a inu paha no ka mea ʻo ka umekaumaha e kōkua i ka meaʻai a me ka wai e neʻe i lalo.

ʻAi a inu i nā mea liʻiliʻi:

• I nā 2 a 4 mau pule mua, ʻai a inu paha ma mua o 1 kīʻaha (240 milliliter) i ka manawa. Maikaʻi ke ʻai ma mua o 3 manawa a hiki i 6 manawa i ka lā.
• E noho ka ʻōpū o kou ʻōpū ma mua o ka hana ma mua o ka ʻoki ʻana. ʻOi aku ka maʻalahi o ka ʻai ʻana i nā meaʻai liʻiliʻi ma loko o ka lā ma kahi o 3 mau pāina nui aku ka nui.

Esophagectomy - papaʻai; ʻAiʻai Post-esophagectomy

ʻO Spicer JD, Dhupar R, Kim JY, Sepesi B, Hofstetter W. Esophagus. I: Townsend CM, Beauchamp RD, Evers BM, Mattox KL, eds. ʻO Sabiston Textbook of Surgery: Ke kumu kumu olaola o ka hana ʻoki ʻana o kēia ao. 20 ouk. Piladelapia, PA: Elsevier; 2017: chap 41.

• Esophagectomy - hoʻohaunaele minimally
• Esophagectomy - wehe

• ʻO kaʻai a me ka ʻai ʻana ma hope o ka esophagectomy
• Esophagectomy - hoʻokuʻu

• Ka maʻi ʻaʻai Esophageal
• Nā maʻi Esophagus